Cpse Treatments For Mental Disorders

Front 1

MR

Back 1

--Teach skills to live productively/independently
--Fxn'l assessment w/ bex'l modification
--Ind, group, family therapy
--Parent education/counseling, support groups
--Txs for adults also include day-tx programs, caregiver training and support

Front 2

LD

Back 2

--Multidisciplinary
--Instructional interventions
--Bex'l interventions for co-existing problems
--Parenting skills to enable success

Front 3

Autistic D/O in children

Back 3

--TEACCH
--Fxn'l assessment w/ bex'l modification
--Sensory Integration Therapy
--Parent training
--Parent/sibling support groups
--Family therapy
--Community services/advocacy groups for family
--Pharmacotherapy for comorbid d/os

Front 4

Autistic D/O in adolescents/adults

Back 4

--Vocational training/assessment
--Supported employment
--Structured, directive psychotherapy (to tx comorbid d/os and teach social skills)
--Pharmacotherapy for comorbid d/os

Front 5

ADHD

Back 5

--Methylphenidate + beh'l interventions (unless secondary to Tourette's: clonidine or desipramine)
--EEG biofeedback
--Self-instruction therapy
--Active parent participation and provision of structured environment, consistent rules, predictable routines
--Contingency contracting
--Classroom interventions: time-outs, contingency mgmt, response cost

Front 6

Problematic side effect (& mediating technique) of methylphenidate at higher doses in children

Back 6

Growth suppression (drug holidays)

Front 7

CD in children and adolescents

Back 7

--Parent Mgmt Training
--FFT
--CPSST

Front 8

CD in mid-late adolescents

Back 8

--Multisystemic Therapy

Front 9

When is pharmacotherapy appropriate in CD?

Back 9

--Bex is escalating and/or poses danger and/or
--Sincere desire but inability to change (despite tx) and/or
--Comorbid ADHD, MDD, etc.

Front 10

When should residential tx for CD be considered?

Back 10

Marked noncompliance or persistent involvement with deviant peers or severe familial dysfxn

Front 11

When should hospitalization for CD be considered?

Back 11

Suicidal/homicidal bex or severe impairment due to substance abuse or other d/o

Front 12

3 phases of FFT

Back 12

1. Engagement and motivation
2. Bex change
3. Generalization

Front 13

Parent Mgmt Training

Back 13

Parents taught to:
--set rules
--negotiate compromises
--develop tx contracts
--reward pos bexs
--replace physical punishment w/ time-out, response cost, etc.

Front 14

Multisystemic Therapy targets what and includes what interventions?

Back 14

--Factors that maintain conduct problems on ind, family, school, peer, community levels
--academic support, social skills training, parent mgmt training, ind/family therapy, peer and school interventions, pharmacotherapy

Front 15

Primary interventions for Tourette's D/O

Back 15

--Antipsychotic drugs
--Self-monitoring
--Relaxation training
--Habit Reversal Training

Front 16

Habit Reversal Training components

Back 16

1. Awareness training (increase awareness of bexs and antecedents to bex)
2. Competing response training (teach competing response that disrupts chain of bex)
3. Social support (teach support sys to reinforce competing bex)

Front 17

Primary interventions for Enuresis and problems with each

Back 17

--Night Alarm (80% effective): high relapse
--Imipramine: good short-term, poor long-term (high relapse)

Front 18

Night Alarm relapse rate reduced by

Back 18

Adding bex rehearsal or overcorrection

Front 19

Separation Anxiety D/O

Back 19

--In vivo exposure
--Systematic desensitization
--Contingency mgmt
--Modeling
--Cognitive therapy
--Parent support/guidance
--Immediate return to school

Front 20

Psychological interventions for Delirium

Back 20

--Environment that minimizes disorientation
--Calm, friendly family or staff to stay with patient

Front 21

Medication for Delirium

Back 21

--Antipsychotic to reduce agitation, delusions, hallucinations
--Benzo ONLY for alcohol withdrawal delirium

Front 22

Emotion-oriented interventions for Dementia

Back 22

--Reminiscence therapy
--Validation therapy
--Supportive psychotherapy

Front 23

Stimulation-oriented interventions for Dementia

Back 23

--Exercise/art
--Recreational
--Animal-assisted therapy

Front 24

Dementia tx approach to reduce disruptive, agitated, and other undesirable behaviors and improve fxn'l skills

Back 24

Behavior-oriented interventions

Front 25

Txs that frustrate patients with Dementia

Back 25

--Reality therapy
--Cognitive-oriented

Front 26

Environmental manipulations for Dementia

Back 26

--Implement structured daily routine, safety measures
--Maintain familiar/calming environment

Front 27

Pharmacotherapy for Dementia

Back 27

--Cholinesterase inhibitor slows cognitive impairment
--Antipsychotics reduce agitation
--Antidepressants for comorbid depression

Front 28

These interventions linked to delayed out-of-home placement, better quality of life for patient, and improved emotional well-being for caretakers of Dementia patient

Back 28

Family/caregiver interventions

Front 29

This is important is Sub Ab/Dep assessment to determine accuracy of patient report

Back 29

Collateral interviews with family/sig others

Front 30

Four levels of care for Sub Ab/Dep are

Back 30

Outpatient
Intensive outpatient
(Non hospital) residential care
Intensive inpatient (hospitalization)

Front 31

Three stages of care for Sub Dep (Institute of Medicine)

Back 31

1. Acute intervention
2. Rehabilitation
3. Extended care and stabilization

Front 32

Goal of Cog-B interventions with Sub Ab/Dep

Back 32

Address dysfxn'l thoughts/maladaptive bexs that underlie substance use

Front 33

This is a broad-based bex'l intervention that begins with a fxn'l assessment and incorporates the use of naturally occurring reinforcers with training in refusing drugs/alcohol

Back 33

Community Reinforcement Approach (CRA)

Front 34

These principles describe what intervention approach?
1. Express empathy
2. Develop discrepancies between current bex and personal goals/values
3. Roll with resistance
4. Support self-efficacy

Back 34

Motivational interviewing

Front 35

SMART Recovery is an alternative to __ that is based on

Back 35

AA/cognitive-bex'l principles

Front 36

Comment on family therapy as a tx for Sub Ab/Dep

Back 36

Not good for treating the addiction, but good for reducing family problems that produce/maintain addictive bexs

Front 37

Phases of Sz and associated foci of assessment

Back 37

1. Acute: diagnose d/o and establish baseline
2. Stabilization: monitor sxs/fxn'g to evaluate tx
3. Stable: goals of tx, level of fxn'g, signs of relapse, medication side effects

Front 38

This may be necessary when a Sz patient's medication regimen is being changed or reestablished:

Back 38

Hospitalization

Front 39

This may be necessary when Sz presents with a substance-related d/o:

Back 39

Hospitalization

Front 40

Rapid onset of muscle rigidity, tachycardia, hyperthermia, and altered consciousness in a Sz patient are possible signs of ___ and require ___.

Back 40

Neuroleptic Malignant Syndrome (NMS);
Immediate cessation of antipsychotic to avoid death

Front 41

Careful blood monitoring is required of these 4 drugs in this class:

Back 41

Atypical antipsychotics (CROQ):
Clozapine
Resperidone
Olanzapine
Quetiapine

Front 42

Traditional antipsychotics are good for treating these in Sz

Back 42

Positive sxs

Front 43

Atypical antipsychotics are good for treating these in Sz

Back 43

Positive and negative sxs

Front 44

Cons of atypical antipsychotics

Back 44

Drying out sxs
Lower seizure threshold
Sedating
NMS
Blood monitoring

Front 45

Cons of traditional antipsychotics

Back 45

Drying out sxs
Extrapyramidal sxs
NMS

Front 46

Psychosocial interventions with Sz are good for

Back 46

--maintaining med compliance
--improving level of fxn'g/quality of life
--reducing risk/negative consequences of relapse

Front 47

The primary goal of family interventions in Sz is

Back 47

Reduce relapse risk

Front 48

Most effective family intervention in reducing relapse risk in Sz

Back 48

Targets high levels of expressed emotion (negative affect) in family members

Front 49

Community-based multidisciplinary team approach to prevent relapse and improve fxn'g in Sz

Back 49

ACT (Assertive Community Tx)

Front 50

Mild MDD responds best to

Back 50

Psychotherapy alone (CBT or IPT)

Front 51

Mod to severe MDD responds best to

Back 51

Psychotherapy plus antidepressant

Front 52

Psychotic MDD responds best to

Back 52

Psychotherapy plus antidepressant

Front 53

Side effects of ECT may be reduced by

Back 53

Applying unilaterally to right (nondominant) hemisphere

Front 54

Bipolar I tx included

Back 54

1. Mood stabilizer (usu Lithium)
2. CBT or IPT

Front 55

Bipolar I outcomes improve when this is added to a mood stabilizer

Back 55

Family interventions

Front 56

Interventions for PD w/ or w/o Ag include

Back 56

Panic-focused CBT
PCT
Meds

Front 57

These are components of what tx?
Psychoeducation, cognitive restructuring, breathing retraining, interoceptive conditioning

Back 57

PCT

Front 58

These are components of what tx?
Self-monitoring, cognitive retraining, breathing retraining, applied relaxation, in vivo exposure, and relapse prevention

Back 58

Panic-focused CBT

Front 59

Best tx for Specific Phobia is

Back 59

Exposure (flooding, but gradual may increase compliance and reduce premature termination)

Front 60

Acceptable tx for Specific Phobia, esp in children/adolescents

Back 60

CBT with systematic desensitization, participant modeling, contingency mgmt, cog modification

Front 61

Txs for Social Phobia

Back 61

CBT
Meds

Front 62

Txs for OCD

Back 62

ERP
Meds

Front 63

Txs for PTSD

Back 63

CBT with exposure and Stress Inoculation Training
Meds
EMDR

Front 64

These are components of what tx?
Education, Skill acquisition/rehearsal, Application/follow-through

Back 64

Stress Inoculation Training

Front 65

This intervention can exacerbate PTSD

Back 65

Psychological debriefing

Front 66

Tx interventions for GAD

Back 66

CBT with worry exposure
Applied relaxation
Meds

Front 67

What is the decatastrophizing technique in CBT for GAD?

Back 67

"What if" technique

Front 68

Having a single physician act as a primary caregiver is helpful in treating what?

Back 68

Somatization D/O

Front 69

Mirror retraining is an intervention used to tx

Back 69

BDD

Front 70

Txs for BDD include

Back 70

CBT
Meds

Front 71

Use of a placebo or amobarbital interview w/ suggestion of sx remittance may resolve this d/o

Back 71

Conversion D/O

Front 72

Sex therapy targets:

Back 72

Bexs, anxiety, attitudes/beliefs, skills

Front 73

Sexual dysfunction txs include

Back 73

Sex therapy
Couples therapy
Meds (for impotence)

Front 74

Anorexia txs include

Back 74

Inpatient tx
CBT
Family therapy
Meds (to tx comorbid MDD/OCD)

Front 75

Bulimia txs include

Back 75

CBT or IPT
Nutritional counseling
Antidepressants

Front 76

Adjustment D/O txs

Back 76

Crisis intervention
Psychotherapy (all kinds)

Front 77

ASPD tx approaches include

Back 77

Milieu/Residential Tx
CBT
Meds are generally avoided due to highly comorbid Sub Ab/Dep

Front 78

Borderline PD tx approaches

Back 78

DBT
IPT
Transference-Focused Psychotherapy